TBS19

Let's do it again.

The sickest patients. The first hours.

ZERMATT 6th-8th of FEBRUARY, 2019.

TBS19

Thanks to a fantastic line-up of speakers and guests, TBS18 was a huge success and is already legend. We had so much fun and after a few months of post-conference shell-shock, we are now back on our feet and are ready to do it again. We will return to Zermatt. There will be a TBS19.

We will stick to the concept. TBS19 (The Big Sick 2019) will be a small, friendly and very informal conference about critical care and emergency medicine. The overall theme is the resuscitation of the sickest patients. Specifically, it is about what we do during the first hours after the critically ill or injured patient is presented to us. Again, we will invite the biggest names in critical care to provide us with state of the art teaching in their fields.

TBS19 is also social event. In 2018, we were amazed to see how our speakers and guests interacted seamlessly and had fun not only during the lecture sessions but also during the evenings and on the hills. This is why we decided to keep TBS19 relatively small. We believe this is key to achieving the kind of learning, networking and discussions we had in 2018.

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LOCATION AND VENUE

Getting to Zermatt is fairly, but not entirely, straightforward. Those of you travelling from abroad are likely to come in through Geneva, Zurich or Milan airports. From there you simply take the train, via Visp, to get to Zermatt. The final leg of this journey, the mountain train from Visp to Zermatt, is spectacular. We recommend that you book the train tickets on-line in advance as it is cheaper.

The famous four-star Hotel Alex in Zermatt will be the hub and beating heart of the conference. The Alex is situated in a beautiful and quiet location, only a few minutes walk from the Zermatt railway station. All lecture sessions will held in their main conference facility. With the exception of the occasional off-site session, most workshops, meetings as well as social events will happen here.

While there are numerous other lodging options, we recommend that you book a room at the Hotel Alex or nearby Hotel Schweizerhof. This will the best way to experience TBS19. The Alex is the epicentre of anything happening at TBS19.As you make your reservation, please remember to ask for the TBS19 conference rate.

PROGRAMME

We base ourselves on high-yield sessions in the morning and late afternoon/evening. Most of these will be held in the Hotel Alex conference room. We will try to arrange the prehospital session in an off-site location.

If you are planning to go skiing during the day or plan to participate in scenario demonstrations we advise you to come dressed for the hills, with skis, already in the morning. February can get very cold in Zermatt, so dress appropriately. Coffee and refreshements will be provided throughout. For a comprehensive list of our speakers and their bios please see our speakers list.

Wednesday evening is the workshop/industry night where the legendary Centurion of Simulation, Carmine Della Vella (@airwaygladiator), collaborates with our sponsors and some of our speakers to create a workshop mingle session in the bar area of the Hotel Alex. For many, this was a highlight of the 2018 edition of TBS. Don’t miss this.

The Thursday bleeding session is presented by the THOR foundation who kindly supported us with speakers.

Don’t miss the Thursday night fondue feat. the mythical Cyrus Olsen.

On Friday afternoon we relocate to the Air Zermatt base facilities for mountain rescue and medicine workshops and demos.

Wednesday

08:00-11:00 CRITICAL CARE

Michael Seltz Kristensen

Søren Steemann Rudolph

Wendy Teoh

Rob Mac Sweeney

Anna Milton

16:00-20:00 TRAUMA

Caroline Leech

David Lockey

Sophie Hamada

Tim Harris

Benedikt Lorenz

20:00-∞ WOrkshoP NIGHT

THURSDAY

08:00-11:00 CIRCULATION

Zach Shinar

Niklas Nielsen

Jostein Brede

Demetri Yannopoulos

Charles Deakin

16:00-20:00 BLEEDING

Geir Strandenes

Philip C. Spinella

Christopher Bjerkvig

Patrick Thompson

Panel discussion: The THOR network

20:00-∞ BUFFET

Friday

• 08:00-11:00 EXTREMES

Richard Lyon

Hermann Brugger

Sundeep Dhillon

Sophia De Maria

Matthieu Komorowski

13:00-16:00 Mountain rescue

SPEAKERS

Christopher Bjerkvig

Christopher is a Lieutenant Commander and SMO with the Norwegian Navy Special Operations Command in Bergen. He is also a consultant anaesthesiologist working for the Norwegian Air Ambulance as well as at Haukeland University Hospital, also in Bergen. He is currently working on his thesis on the implementation of remote damage control resuscitation strategies in the blood far forward research group in Bergen.

Jostein Rødseth Brede

Jostein Rødseth Brede is a consultant anaesthesiologist working at St. Olavs University Hospital in Trondheim, Norway, and a HEMS doctor at the rescue helicopter, Royal Norwegian Airforce, 330 SAR helicopter squadron. He is currently working on a PhD-project regarding the use of REBOA in the prehospital setting in Norway, focusing on the use in non-traumatic out-of-hospital cardiac arrest.

Hermann Brugger

Dr Brugger is a general practitioner and emergency physician. He is the founder and head of the EURAC Institute of Mountain Emergency Medicine in Bolzano, Italy. He has published extensively on various topics in mountain emergency medicine including several landmark publications on avalanche rescue and accidental hypothermia. He has received numerous scientific awards. He is an associate Editor of High Altitude Medicine and Biology, a guest lecturer at the University of Padova, as well as an associate Professor and lecturer at the Innsbruck Medical University.Outside his research activities and hospital work He is a mountain rescue physician for the Mountain Rescue Organization of South Tyroland has performed more than 2000 mountain rescue operations. He is an enthusiastic mountaineer and ski-tourer with several ascents in Europe, the Americas and Asia.

Lt Col Sophia De Maria

Dr Sophia De Maria is a British Army Emergency Medicine and Pre-Hospital Care Consultant recently posted to Cambridge University Hospital. Over the last 15 years she has deployed multiple times and has front line experience in Kosovo and Iraq as well as a tour of Bastion Military Hospital in Afghanistan. Whilst in the UK, Sophia also works as a HEMS Doctor with East Anglian Air Ambulance as well as being part of the medical team for the British Superbikes and the Abu Dhabi Formula 1.

CHARLES DEAKIN

Professor Charles Deakin is consultant in cardiac anaesthesia and cardiac intensive care at University Hospital Southampton, Divisional Medical Director for South Central Ambulance Service and Medical Director for Hampshire & Isle of Wight Air Ambulance. He is also Honorary Professor of Resuscitation and Prehospital Emergency Medicine at Southampton University where his main academic interests are cardiac arrest, major trauma and resuscitation. Charles is a lead author for UK paramedic, national and European resuscitation guidelines and is a fellow of the Resuscitation Council (UK) and European Resuscitation Council. He co-chaired the ILCOR ALS CoSTR in 2005 and 2010 and remains a member of the ALS working Group where he is also the ILCOR domain lead for defibrillation. He was a member of the Trial Management Group for the recently published PARAMEDIC2 and AIRWAYS2 studies.

Haakon Eliassen

Haakon is a lieutenant Commander at the Norwegian Navy Special Operations Command in Bergen. He is currently also studying medicine at the University of Bergen. Mr. Eliassen served in the Norwegian navy since 2002 as a navy combat medic. He has been deployed to several different war zones over the years. Mr. Eliassen’s gained clinical experience from both the military service and from working in the ambulance service in Bergen city. He has been involved in the Blood Far Forward project since the beginning. He is currently working on his thesis and has a special interest in the donor performance, blood efficacy and safety issues.

TIM HARRIS

Professor Tim Harris was born in the UK but has spent around half his life overseas. He trained in Emergency Medicine and Intensive care medicine in Australia, and in pre-hospital Medicine in Australia and the UK. He has worked in 43 hospitals in 11 countries and mixed training with travel with volunteer work in Africa, India and Samoa. He has worked at Barts Health for 10 years and was appointed Professor Emergency Medicine at QMUL and BH in 2012. He divides his academic time between teaching and research. His main interests are resuscitation, ultrasound, and point of care testing but most academic time is working to facilitate large multicentre studies at BH. BH research team have run 14 portfolio studies and published over 40 scientific papers in their four year existence. He is CLRN lead for North Thames and chairs the London Emergency Medicine Academic committee.

SOPHIE HAMADA

Hamada Sophie is a MD and specialist in Anesthesia and Intensive Care at the Bicêtre Hospital in Paris where she works at the Surgical and Trauma intensive care unit under Professor Duranteau. She is the co-founder and current president of the national trauma registry (traumabase.eu). She has a Master of science in methodology & statistics in biomedical research and is working on her pHD.

Matthieu Komorowski

Matthieu holds full board certification in anesthesiology and critical care in both France and the UK. He was previously a research fellow at the European Space Agency and holds additional qualifications in mountain, diving and hyperbaric medicine. He worked with the NASA Human Research Program and developed simplified anesthesia protocols for future space exploration missions. He currently pursues a PhD in machine learning applied to intensive care at Imperial College London and the Massachusetts Institute of Technology. For his work, he received several awards including the first prize of Research and Innovation of the British Royal Society of Medicine. He is an affiliate of Harvard University where he teaches reinforcement learning in healthcare.

MICHAEL SELTZ KRISTENSEN

Michael is a clinically working consultant anesthetist at Rigshospitalet in Copenhagen, a referral center for all BIGSICK-, including trauma-, patients in the Capital Region of Denmark. Michael is in charge of clinical Airway Management and is constantly developing and refining airway management. Michael has been the first to describe several of the new advanced techniques for airway management and is a pioneer in emergency airway management, including research and publications in front of neck airway access in both adults and paediatrics, and is the head of the international Scandinavian airway course – www.airwaymanagement.dk. Michael has, together with dr. Wendy Teoh, developed methods for rapid and precise use of ultrasonography for lifesaving airway management. Find his Pubmed-indexed publications here.

Caroline LeecH

Caroline is a Consultant in Emergency Medicine at University Hospital Coventry (UK). She has 20 years experience of pre-hospital care primarily in London and the West Midlands. Caroline is an Associate Editor of the Emergency Medicine Journal, Executive of the Faculty of Pre-Hospital Care (RCSEd), Vice-Chair of the charity TraumaCare, Director of the West Midlands Emergency Surgical Skills Course, and Deputy Clinical Lead of The Air Ambulance Service.

David Lockey

Professor David Lockey is a Consultant in Intensive Care Medicine and Anaesthesia in Bristol and in Pre-hospital Care in London. He is Trauma Network Director in South West England and has recently become National Director for the Emergency Medical and Retrieval Service in Wales. He has been involved in the development of Pre-hospital Emergency Medicine and is immediate past Chairman of the Intercollegiate Board for training in Pre-hospital Emergency Medicine and is current Chairman of the Faculty of Pre-hospital Care of the Royal College of Surgeons of Edinburgh.

Benedikt Lorenz

Benedikt Lorenz worked several years as a Paramedic and he is now a specialist in Anesthesia and Intensive Care at the University Hospital Essen. He had an one year fellowship in cardiac anesthesia and also works as an prehospital emergency physician. He ist currently working on an Intensive care unit and ECMO/ARDS Center with ECMO-retrieval Service.

RICHARD LYON

Richard is a Consultant in Emergency Medicine and Clinical Lead for Medic1 at the Royal Infirmary of Edinburgh. He is Associate Medical Director of Kent, Surrey & Sussex Air Ambulance and Chair or Pre-hospital Emergency Care at the University of Surrey. Born in Luxembourg, he became a volunteer fireman at the age of 15 and developed an early passion for pre-hospital emergency care. He completed a unique doctorate thesis on out-of-hospital cardiac arrest (OHCA) – the TOPCAT study, which has formed the basis of a successful programme of work to improve outcome from OHCA across Scotland. He is active in resuscitation and trauma research and was proud to be part of the winning BMJ Awards Emergency Medicine Team of the Year. He has won numerous national and international awards for his work and in 2017 was awarded an MBE in Her Majesty The Queen’s Birthday Honours for Services to Emergency Healthcare.

ANNA MILTON

Anna Milton, last months of residency in Anaesthesia and Intensive Care at the Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital. Also pursuing a PhD Project at the Department of Physiology and Pharmacology, Karolinska Institutet. The project is about the aftermaths of intensive care, aiming to identify critically ill patients at risk for an incomplete physical and psychological recovery.

NIKLAS NIELSEN

Niklas Nielsen is a staff specialist in Anaesthesia and Intensive Care at Helsingborg Hospital and associate professor at the Department of Clinical Sciences, Lund University, Sweden. His research interest is on various aspects of post-cardiac arrest care with focus on targeted temperature management, biomarkers for prediction, trial methodology, trial conduct and follow-up. He was PI for the recent TTM-trial 33°C versus 36°C and is currently leading the TTM2-trial www.ttm2trial.org. He is involved in the Anaesthesia, Intensive Care and Emergency Medicine programs at Lund University.

CYRUS OLSEN

Cyrus P. Olsen III is Associate Professor of Theology/Religious Studies at The University of Scranton, Scranton, PA (United States). He has advanced degrees from the University of Oxford in Systematic Theology and the University of Washington (Seattle, WA) in the Comparative History of Ideas. A specialist in speculative philosophy, ethics, and culture, Cyrus is a dilettante with a passion for the outdoors. His most recent research concerns the confluence of religion and healthcare in southwest Uganda, East Africa.

Hans van Schuppen

Hans van Schuppen is an anesthesiologist, working at the Academic Medical Center (AMC) in Amsterdam. During residency he worked as an EMS medical director for some years and finished a fellowship in Intensive Care. His main area of interest is cardiopulmonary resuscitation: as a resuscitation team leader and as a course director and instructor-trainer for BLS and ALS. Next to CPR, he has a special interest in human factors and airway management. He published on physician staffed HEMS. Currently Hans is working on his PhD research on airway management and ventilation during prehospital advanced life support by EMS. Furthermore, Hans is member of the jury of the annual Dutch CPR Competition and shares thoughts on resuscitation on his blog DutchResus.com.

ZACH SHINAR

Zack Shinar is a full-time Emergency Physician in San Diego, California. He co-leads the EDECMO podcast, co-chairs the Emergency ECMO program at his hospital, and directs the ECMO/REBOA conference “Reanimate”. He is the vice chair of Emergency Medicine at Sharp Memorial Hospital. He was chief resident at Los Angeles County Emergency Medicine Residency. He studied medicine at the University of Southern California and studied bioengineering at the University of Pennsylvania. He is an avid endurance athlete completing marathons, ultra-marathons, and ironman triathlons.

Philip C. Spinella

Dr Philip C. Spinella is a pediatric intensivist and Director of the Critical Care Translational Research Program at Washington University in St Louis School of Medicine and the St Louis Children’s Hospital. He served as an active duty US Army physician for 12 years, which included a 1-year deployment to Iraq. He continues to serve as a Consultant to the US Army Blood Research Program and is the Chair of the Steering Committee for the Norwegian Navy Blood Far Forward Research Program. His publications are in the area of blood component and whole blood resuscitation for traumatic hemorrhagic shock, clinical and translational research regarding the effects of RBC storage duration on outcomes, immunology and coagulation, and coagulation monitoring by thromboelastography. He is also an Affiliate Investigator at the Blood Systems Research Institute in San Francisco, CA. In addition, he Chairs an international Pediatric Critical Care Blood Research Network (Blood Net). Dr Spinella’s current funded research projects examine the immunologic, coagulation, and vasoregulatory effects of RBC transfusion according to storage age in two large RCTs (ABLE and RECESS). He is also the Co-PI of a RCT that is being submitted to the NIH for funding that will determine if RBC storage age increases the risk of new or progressive MODS in critically ill children.

GEIR STRANDENES

Born 1961, Dr. Strandenes finished his military service in the Norwegian Army Special Operation Commando in 1982. He finished medical school in 1988 and became an approved specialist in anesthesiology since 1996. His clinical career has been in Cardiothoracic Anesthesiology Haukeland University Hospital Bergen and Prehospital Emergency Medicine in the Norwegian Air Ambulance services (1992-2007). He was a member of the Army Special Operation Commando as consulting officer from 1996-2000 and is currently the Senior Medical Officer in the Norwegian Naval Special Operation Commando from 2010. Dr. Strandenes’ research interests include Prehospital Whole Blood Transfusions, Principal Investigator of the Blood Far Forward (BFF) research program in cooperation with the department of Immunology and Transfusion Medicine, Haukeland University Hospital in Bergen/Norway and Us Army Institute of Surgical Research.

Rob Mac Sweeney

Rob Mac Sweeney is an intensivist working at the Royal Victoria Hospital in Belfast, Northern Ireland. He founded and runs Critical Care Reviews, a free, not-for-profit critical care educational project spanning a website, journal watch facility, newsletter, international meeting, annual book and podcast. He also co-founded a platinium open access journal, Critical Care Horizons. Rob is a passionate believer that scientific advances, especially through publically funded research, should be available to all and works to promote open access to such work through Critical Care Reviews and Critical Care Horizons. (SoMe: rob@criticalcarereviews.com | @critcarereviews | www.criticalcarereviews.com)

WENDY TEOH

Dr Wendy Teoh is a Senior Consultant Anaesthesiologist in private practice, after 15 years at Singapore’s largest maternity hospital with 12,000 deliveries annually (KK Women’s & Children’s Hospital). She is on the Executive Council & Board of Directors of the College of Anaesthesiologists Singapore, and an Airway Lead in Singapore Society of Anaesthesiologists (SSA) Airway Special Interest Group. Wendy’s interest lie in obstetric airway management, videolaryngoscopy, advanced supraglottic airway use, airway ultrasonography (localisation of the cricothyroid membrane) & ultrasound-guided epidurals in pregnant women. With >55 peer reviewed/ indexed publications, 15 book chapters, she lectures worldwide and is invited faculty of difficult airway workshops of the European Society of Anesthesiologists, the American Society of Anesthesiologists and the Difficult Airway Society, UK.

PatRICK THOMPSON

N/A

Demetri YannopouloS

Dr. Yannopoulos is an Interventional Cardiologist at the University of Minnesota Medical Center (UMMC) with board certifications in Internal Medicine, Cardiovascular Medicine and Interventional Cardiology. He received the Robert Eddy Endowed Chair for Resuscitation Medicine and was appointed this past year as Professor of Medicine at the University of Minnesota. Dr. Yannopoulos has published more than 120 articles in the field of resuscitation and many book chapters. He has received funding from the NIH to evaluate methods to improve neurological outcomes after prolonged untreated arrest. He is the recipient of the NIH Director’s transformative research award that evaluates ways to mitigate reperfusion injury after cardiac arrest. Dr. Yannopoulos is the PI of the ACCESS trial, a phase III, multicenter US trial that assesses the effect of early access to the cardiac catheterization on survival to hospital discharge for patients resuscitated after VF OHCA. He is also the PI of the ARREST trial, an NIH funder randomized trial that will assess the role of ECMO in refractory VF arrest and its effect on improving neurological intact survival. Dr. Yannopoulos, with the collaboration of the Twin Cities EMS directors, has established the first ECMO-based resuscitation protocol in the US for refractory VF OHCA patients. With the support of the Helmsley Charitable Trust, he is currently and actively assessing ways to implement prehospital circulatory support for cardiac arrest victims and transform prehospital care for very time critical interventions.

REGISTRATION

If you already have an invitation, please refer to your conference invitation e-email for details regarding registration and payment. If you have no invitation and would like to attend TBS19, please send us an email at bigsickconference@gmail.com with a very brief presentation of your professional background. The registration fee is set at 750EUR.